Individual provider Active NPI

Christina Renee Handermann, ACNP

  • Acute Care Nurse Practitioner
  • Middletown, OH
National Provider Identifier
1235892571
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN.CNP.0029866 Issued in OH
Practice address
200 Medical Center Dr Ste 290
Middletown, OH 45005-2595
Phone
(513) 857-3301
NPI assigned
Oct 13, 2021
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN.CNP.0029866 OH Primary

Addresses

Primary practice location

200 Medical Center Dr Ste 290
Middletown, OH 45005-2595

Mailing address

200 Medical Center Dr Ste 290
Middletown, OH 45005-2595
Phone (513) 857-3301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211027002603 OH Practitioner - Nurse Practitioner 2163810946 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rajesh C Patel MD IncGroup PAC ID 2961538467, 25 clinicians

Practice addresses (Care Compare)

9001 N Main St
Suite a
Dayton, OH 45415-1154
Phone (937) 832-0990

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.31 of 100Reported as group
Quality
79.48
Promoting interoperability
71
Improvement activities
40
Cost
79.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0029866OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc Current Accepting new patients
Rajesh C Patel MD Inc CurrentSince Jan 1, 2022 Accepting new patients
Premier Health Specialists Inc CurrentSince Oct 25, 2021 Accepting new patients
Rajesh C. Patel, M.D., Inc. CurrentSince Jan 1, 2022 Accepting new patients
Premier Health Specialists Inc CurrentSince Oct 25, 2021 Accepting new patients

Locations

2400 Miami Valley Dr
#1000
Centerville, OH 45459

2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394

9001 N Main St
Ste A
Dayton, OH 45415
Phone (937) 832-0990

200 Medical Center Dr
Ste 290
Middletown, OH 45005
Phone (513) 420-4660

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235892571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR STE 290",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450052595",
            "telephone_number": "513-857-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR STE 290",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450052595",
            "telephone_number": "513-857-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDERMANN",
        "first_name": "CHRISTINA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.0029866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.